FEATURED JOBS
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…continuing education, credentialing, performance appraisals, auditing, concurrent monitoring, utilization review , risk management and active problem
…service Preferred Qualifications - Crisis intervention skills preferred- Managed care/ utilization review experience preferred- Case management and discharge
…plans/care paths are addressed and met. Serve as liaison to ancillary and utilization review services, serve as communication link between health team members.
…or other health care setting. **Preferred:** + One (1) year Managed Care Utilization review experience. + Experience and knowledge of the preauthorization
…or services (with complete cost/benefit analysis). Oversees all CQI and utilization review activities. Assists in agency evaluation activities. Participates
…**Minimum Experience:** **One year related in acute care facility and/or utilization review training and/or healthcare experience.** **Minimum Experience:**
…preferably in a hospital setting + Certification in case management or utilization review preferred + InterQual experience preferred Medical City McKinney
…specific clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post
…the plan of care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as requested. + Attends
…also responsible for aggregating, analyzing, and reporting denials data to the Utilization Review function/committee on a regular basis. Education, Experience,